Making healthy eating and physical activity policy practice: Process evaluation of a group randomized controlled intervention in afterschool programs

R. Glenn Weaver, Michael W. Beets, Brent Hutto, Ruth P. Saunders, Justin B. Moore, Gabrielle Turner-McGrievy, Jennifer Huberty, Dianne S. Ward, Russell R. Pate, Aaron Beighle, Darcy Freedman

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    Abstract

    This study describes the link between level of implementation and outcomes from an intervention to increase afterschool programs' (ASPs) achievement of healthy eating and physical activity (HE-PA) Standards. Ten intervention ASPs implemented the Strategies-To-Enhance-Practice (STEPs), a multi-component, adaptive intervention framework identifying factors essential to meeting HE-PA Standards, while 10 control ASPs continued routine practice. All programs, intervention and control, were assigned a STEPs for HE-PA index score based on implementation. Mixed-effects linear regressions showed high implementation ASPs had the greatest percentage of boys and girls achieving 30 min of moderate-to-vigorous physical activity (47.3 and 29.3%), followed by low implementation ASPs (41.3 and 25.0%), and control ASPs (34.8 and 18.5%). For healthy eating, high/low implementation programs served fruits and vegetables an equivalent number of days, but more days than control programs (74.0 and 79.1% of days versus 14.2%). A similar pattern emerged for the percent of days sugar-sweetened foods and beverages were served, with high and low implementation programs serving sugarsweetened foods (8.0 and 8.4% of days versus 52.2%), and beverages (8.7 and 2.9% of days versus 34.7%) equivalently, but less often than control programs. Differences in characteristics and implementation of STEPs for HE-PA between high/low implementers were also identified.

    Original languageEnglish (US)
    Pages (from-to)849-865
    Number of pages17
    JournalHealth Education Research
    Volume30
    Issue number6
    DOIs
    StatePublished - 2015

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    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health
    • Education

    Cite this

    Weaver, R. G., Beets, M. W., Hutto, B., Saunders, R. P., Moore, J. B., Turner-McGrievy, G., Huberty, J., Ward, D. S., Pate, R. R., Beighle, A., & Freedman, D. (2015). Making healthy eating and physical activity policy practice: Process evaluation of a group randomized controlled intervention in afterschool programs. Health Education Research, 30(6), 849-865. https://doi.org/10.1093/her/cyv052